3 Learning Points Today:
1. If you have Gilbert's Syndrome (a common familial hyperbilirubinemia), you are more likely to have a long life! I now know 3 residents in this program with Gilbert's and am both impressed and jealous. The suspected mechanism of this are the antioxidant properties of bilirubin. Eat your blueberries. https://www.ncbi.nlm.nih.gov/pubmed/23701650
2. Lupus Hepatitis is quite rare, especially as the sole presenting symptom/disease. Those with lupus are more likely to develop drug-induced hepatitis from the medications they take to control their SLE rather than and autoimmune-mediated hepatitis.
3. Lupus Hepatitis, like autoimmune hepatitis, is treated first line with steroids.